NICHOLAS M CANNATARO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

CANNATARO

Prefix

Business Name

NICHOLAS M CANNATARO

Original Issue Date

09/14/2017

Effective Date

03/04/2026

Expiration Date

03/01/2028

City

BARTLETT

State

Zip

60103

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026